SearchNew Mexico101YM0800X

Jonathan Wallach, LMHC

NPI 1568811537 · on the registry since 2016

Practice

Address
2019 Galisteo St
Suite E2
Santa Fe, NM 87505
Phone
(505) 983-8225
Organisation at this address
Vlc Iii, Llc
Kpu Dental Llc
Corey Sutter Fnp
Ideal Option, Pllc
Jacob Daniel Cohen
Inferred from a shared address, not stated in the registry.
Clinicians at this address
73

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-06-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico